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J Gen Intern Med. 2017 Aug 10. doi: 10.1007/s11606-017-4138-3. [Epub ahead of print]

High Stakes for the Health of Sexual and Gender Minority Patients of Color.

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Division of Prevention Science, Department of Medicine, University of California San Francisco, 550 16th Street, Box 0886, San Francisco, CA, 94158, USA.
Department of Medicine, University of Chicago, Chicago, IL, USA.


As clinicians, educators, and researchers, our ability to provide the best possible care to our patients who are sexual and gender minority (SGM) people of color is increasingly challenged. Relative to the general population, SGM patients often have worse health outcomes, and among SGM patients, racial and ethnic minorities are particularly vulnerable. Healthcare policies proposed by the current administration, along with an increasingly hostile and dangerous social climate, have the potential to seriously harm SGM patients of color. In this paper, we discuss these key policy issues impacting the health of SGM patients of color. We then suggest questions for clinicians to consider to help them decide which advocacy activities are right for them, recommending self-examination, skills development, and political action. We end by outlining concrete, actionable steps to advocate for SGM patients of color in patient care, healthcare organizations, medical education, research, and public policy.

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